Complete Care at Glendale West
6263 N GREEN BAY AVE, GLENDALE, WI 53209 · CCN 525547
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 94
- Avg residents/day
- 77.9
- Phone
- 4143510543
Inspection history vs Wisconsin & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Wisconsin avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-22 | 17 | 9.8 | 9.5 | +7.2 worse |
| 2 | 2024-02-05 | 9 | 9.2 | 9.8 | -0.2 better |
| 3 | 2022-10-24 | 12 | 8.3 | 9.3 | +3.7 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 5 |
| Resident rights | 3 |
| Pharmacy service | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.08 | 44.0% |
| RN staffing (reported) | 0.66 | 25.0% |
| Total nurse staffing (adjusted) | 3.63 | — |
Fines & penalties
- Total fines
- $11,180
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- COMPLETE CARE
- Facilities in chain
- 85
- Chain avg overall
- 3.20 / 5
Inspection citations (38)1 immediate jeopardy1 actual harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-11-12 · Health · corrected 2025-12-05
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-11-12 · Health · corrected 2025-12-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-12 · Health · corrected 2025-12-05
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-11-12 · Health · corrected 2025-12-05
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-22 · Health · corrected 2025-06-22
Potential for more than minimal harm
- EF0572Give residents a notice of rights, rules, services and charges.2025-05-22 · Health · corrected 2025-06-22
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-05-22 · Health · corrected 2025-06-22
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-05-22 · Health · corrected 2025-06-22
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-05-22 · Health · corrected 2025-06-22
Potential for more than minimal harm
- EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-05-22 · Health · corrected 2025-06-22
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-22 · Health · corrected 2025-06-22
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2025-05-22 · Health · corrected 2025-06-22
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-22 · Health · corrected 2025-06-22
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-05-22 · Health · corrected 2025-06-22
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-05-22 · Health · corrected 2025-06-22
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-22 · Health · corrected 2025-06-22
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-05-22 · Health · corrected 2025-06-22
Potential for more than minimal harm
- DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-11-26 · Health · corrected 2024-12-17
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-26 · Health · corrected 2024-12-17
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-09-26 · Health · corrected 2024-10-15
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-07 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-06-07 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-02-05 · Health · corrected 2024-02-24
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-05 · Health · corrected 2024-02-24
Potential for more than minimal harm
- EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-02-05 · Health · corrected 2024-02-24
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-05 · Health · corrected 2024-02-24
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-29 · Health · corrected 2023-12-26
Actual harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-11-29 · Health · corrected 2023-12-26
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2022-10-24 · Health · corrected 2022-11-18
Potential for more than minimal harm
- CF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-10-24 · Health · corrected 2022-11-18
Potential for minimal harm
- CF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2022-10-24 · Health · corrected 2022-11-18
Potential for minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-10-24 · Health · corrected 2022-11-18
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-10-24 · Health · corrected 2022-11-18
Immediate jeopardy
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-24 · Health · corrected 2022-11-18
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2022-10-24 · Health · corrected 2022-11-18
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-10-24 · Health · corrected 2022-11-18
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-10-24 · Health · corrected 2022-11-18
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-10-24 · Health · corrected 2022-11-18
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| PC GLENDALE HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 34% | 2021-04-30 |
| HELMAN, YOSEF | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | 2021-04-30 |
| SILVERBERG, NISANEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | 2021-04-30 |
| PEACE CAPITAL HOLDINGS LLC (DE) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-04-30 |
| SMS 2021 TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-04-30 |
| STEIN, SHALOM | Individual | CORPORATE OFFICER | — | 2021-04-30 |
| SILVERBERG, NISANEL | Individual | W-2 MANAGING EMPLOYEE | — | 2021-04-30 |
Other facilities in GLENDALE
| Name | Overall | Beds |
|---|---|---|
| Bayshore Nursing & Rehab | ★☆☆☆☆ | 112 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.